🔑 Key Learning

  • Triad: benign ovarian fibroma, ascites, and pleural effusion.
  • Mimics malignancy but resolves with resection.
  • Always consider in women with pelvic mass and effusion.

👀 Clinical Features

  • Ovarian fibroma (benign)
    • Pelvic mass
    • Abdominal distension
  • Ascites
  • Pleural effusion
    • Shortness of breath

💊 Management

  • Surgical resection of the ovarian fibroma
  • Resolution of ascites and pleural effusion typically occurs post-operatively

📝 Exam Clues & Clinchers

  • Triad: pelvic mass, ascites, pleural effusion → think Meigs if fibroma is suspected